Apply To Work With Us Mold | Designed for Health

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Please share a bit more about what you’re looking for from our work together. This gives us an idea of how we may be able to support you, and if we’re a great fit. We’ll be in touch to schedule your session as soon as possible.

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Name*

First Last

Email*

Phone*

Where are you at?*

I suspect I may have mold

I have taken the mold test and have elevated levels of mold

I have other health concerns I would like to deal with

Other

What are your top 3 health challenges currently?*

How would your life be different if your health challenges were resolved in the next year?*

What approaches have you tried already that worked for you? Please list.*

What approaches have you tried that did NOT work for you? Please list.*

What changes do you know you could / should make that you haven’t already made?*

What are the biggest barriers to making the changes you already know you should be making?*

On a scale of 1 to 10, how committed are you to making the changes you need to make to achieve your health goals?*

Do you have the financial means to invest in your health right now?*

Would you like to speak to one of our staff before getting started?*

Yes, (15 minute call)

No, I'm ready to get started